2012 Scholarship information coming SOON!
The Southern Society of Electroneurodiagnostic Technologists, Inc.
SCHOLARSHIP AWARD APPLICATION
NAME:______________________________________________________________________
ADDRESS:___________________________________________________________________
____________________________________________________________________________
EMAIL______________________________________________________________________
Scholarship applying for:(please circle one) IONM PSG EEG
CURRENT SSET MEMBER? YES_____ NO_____
BOARD REGISTERED? YES______ TYPE?_____________NO______ If “NO”, do you plan to take registry exams in the future? YES_____ NO______
WHERE DID YOU OBTAIN YOUR PROFESSIONAL TRAINING? PLEASE INCLUDE LENGTH OF TRAINING?___________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
EMPLOYER NAME, ADDRESS AND TELEPHONE_________________________________
______________________________________________________________________________
______________________________________________________________________________
EMPLOYER COMPENSATES FOR MEETINGS? HOW MUCH?_______________________
______________________________________________________________________________
BRIEFLY STATE WHY YOU SHOULD BE SELECTED FOR A SCHOLARSHIP AWARD AND HOW YOUR PATIENTS, LABORATORY AND HOSPITAL WILL BENEFIT FROM YOURSELECTION._________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
YOU MUST INCLUDE A LETTER FROM YOUR SUPERVISOR OR ADMINISTRATOR STATING THEY ARE AWARE OF YOUR APPLICATION AND WILL APPROVE TRAVEL FOR THE UPCOMING SSET MEETING IF YOU ARE AWARDED THE SCHOLARSHIP.
***APPLICATIONS MUST BE RECEIVED 35 DAYS PRIOR TO THE MEETING***
SUBMIT APPLICATIONS TO: FAX 434-799-2451 OR E-MAIL TO NEUROEDU@SSET.ORG